CAROL E GREENTREE (NPI# 1255792073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255792073 |
| Entity Type | Individual |
| Full Name | CAROL E GREENTREE |
| Credential | RN |
| Practice Address |
2115 West Park Drive Lorain OH 44053 |
| Practice Telephone | 4409894987 |
| Practice Fax Number | 4402824779 |
| Mailing Telephone | 4409894987 |
| Mailing Fax Number | 4402824779 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN.110238 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | RN.110238 | 01 |
| Street Address |
2115 WEST PARK DRIVE |
| City | LORAIN |
| State | OH |
| Zip Code | 44053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| 1528429123 | Timothy E Smith | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-10 |
| 1447611033 | Charles Mead | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-10 |
| 1952762619 | Martin C Halloran | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-09 |
| 1518328285 | Jacob H Kestler | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-09 |
| 1003277765 | Sabrina Jones | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1114313590 | Adefunke Adedipe | Family Medicine | 3600 Kolbe Rd Ste 227, Lorain, OH 44053 | 2015-04-12 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801389200 | Yvonne Sproule | Registered Nurse | 2115 W Park Dr, Lorain, OH 44053-1138 | 2018-06-11 |
| 1194214437 | Nanette Seiler | Registered Nurse | 1882 E 32nd St, Lorain, OH 44055-1812 | 2018-05-02 |
| 1689186892 | Elizabeth Wainio | Registered Nurse | 2115 W Park Dr, Lorain, OH 44053-1138 | 2017-10-27 |
| 1114459211 | Sandra Ann Vogel | Registered Nurse | 2115 W Park Dr, Lorain, OH 44053 | 2017-03-29 |
| 1063954873 | Kathy Loughrie | Registered Nurse | 2115 W Park Dr, Lorain, OH 44053-1138 | 2016-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572858 | Jessica Metz | Registered Nurse | 4209 Glacier Ave Nw, Massillon, OH 44646-1429 | 2020-09-14 |
| 1265041792 | Joyce Ann Krivinskas | Registered Nurse | 4553 Harris Rd, Broadview Hts, OH 44147-2903 | 2020-07-30 |
| 1134754799 | Shannan Renee Billingsley | Registered Nurse | 6045 Waldway Ln, Cincinnati, OH 45224-2751 | 2020-03-04 |
| 1588136899 | Misty Dawn Buckley | Registered Nurse | 1570 S River Rd, Zanesville, OH 43701-7186 | 2018-12-27 |
| 1295210813 | Tyler Parsons | Registered Nurse | 303 E Cherry St, Georgetown, OH 45121-1338 | 2018-09-28 |
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1053803650 | Jacqueline Kay Schade | Registered Nurse | 41641 N Ridge Rd # 3, Elyria, OH 44035-1264 | 2018-05-31 |
| 1194220350 | Beverly Bettinger | Registered Nurse | 732s Main St, Toledo, OH 43605-2338 | 2018-03-28 |
| 1205366200 | Nakisha Bailey | Registered Nurse | 350 South Irwin Road, Swanton, OH 43558 | 2017-06-13 |
| 1164971438 | Clifford Alexander Payne | Registered Nurse | 5737 Brookside Rd, Independence, OH 44131-6012 | 2016-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.